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Ambiance Dance

Trial Class Enrolment

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Student Details

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Please Note

If you wish to add a new student, please contact Ambiance Dance.

Class Details

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Please select from the fields in Class Details area and press the 'Find Classes' button.
Please contact administration on 0419 927 270 to confirm which classes (days and times) for your trial.
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Select the classes you wish to add to the student and then press the "Add Classes" button.

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Booking details

Customer Details

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Last name
Gender
Address 1
Address 2
Suburb
State
Postcode
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Work phone
Mobile
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Email
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Notes
PAYMENT PLAN
FATHERS' NAME

Agreements

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Payment Options

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Order Details

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